FoodStudy
Name
Telephone number
Address
City
State
Zip code
Email address
What is your job title or position?
Are you the female head of the household?
What is your age?
How many children, if any do you have that are 5-14 years of age?
What are their ages?
Which of the following best describes the type of school your children attend?
Do any member of your family have food allergies?
How much of your household's grocery shopping do you personally do?
From which of the following stores have you purchased your groceries in the last 6 months?
From what stores have you purchased your groceries in the past month?
How frequently do you typically shop at a Supermarket /Grocery Store
How frequently do you typically shop at a Warehouse outlet such as Costco or BJs?
How frequently do you typically shop at Wal-Mart?
How frequently do you typically shop at Target?
How frequently do you typically shop at a Convenience Store?
How likely are you to shop at a Supermarket Grocery Store in the Future?
How like are you to shop at a Warehouse suc as Costco or BJs in the future??
How likely are you to shop at Wal-Mart in the future??
How likely are youu to shop at Target in the future?
How important are your childrens school raising efforts? Would you say...
Are you currently?
Do you have a computer in your home?
Do you have a webcam ?